Intraocular pressure measurement by three different tonometers in primary congenital glaucoma

Purpose: To determine the agreement between intraocular pressure (IOP) measurements using an automated non-contact tonometer (NCT), Goldmann applanation tonometer (GAT), and the ocular response analyzer (ORA) in subjects with primary congenital glaucoma (PCG). Methods: Twenty-nine eyes of 17 PCG pa...

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Main Authors: Athar Zareei, Mohammad Reza Razeghinejad, Mohammad Hosein Nowroozzadeh, Yadollah Mehrabi, Mohammad Aghazadeh-Amiri
Format: Article
Language:English
Published: Knowledge E 2015-01-01
Series:Journal of Ophthalmic & Vision Research
Subjects:
Online Access:http://www.jovr.org/article.asp?issn=2008-322X;year=2015;volume=10;issue=1;spage=43;epage=48;aulast=Zareei
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author Athar Zareei
Mohammad Reza Razeghinejad
Mohammad Hosein Nowroozzadeh
Yadollah Mehrabi
Mohammad Aghazadeh-Amiri
author_facet Athar Zareei
Mohammad Reza Razeghinejad
Mohammad Hosein Nowroozzadeh
Yadollah Mehrabi
Mohammad Aghazadeh-Amiri
author_sort Athar Zareei
collection DOAJ
description Purpose: To determine the agreement between intraocular pressure (IOP) measurements using an automated non-contact tonometer (NCT), Goldmann applanation tonometer (GAT), and the ocular response analyzer (ORA) in subjects with primary congenital glaucoma (PCG). Methods: Twenty-nine eyes of 17 PCG patients underwent IOP measurements using NCT, GAT and ORA. Variables obtained by the ORA were corneal-compensated IOP (IOPcc), Goldmann-correlated IOP (IOPg), corneal hysteresis (CH), and corneal resistance factor (CRF). A difference more than 1.5 mmHg for IOP was considered as clinically relevant. Results: Mean age of the patients was 12 years. Mean IOP (±standard deviation, SD) was 15.3 ± 2.8 mmHg (GAT), 15.5 ± 6.0 (NCT), 19.2 ± 7.0 (IOPg), and 21.1 ± 7.9 (IOPcc); (P = 0.001). Except for NCT vs. GAT (P = 1.0), the average IOP difference between each pair of measurements was clinically relevant. The 95% limits of agreements were − 10.2 to 10.3 mmHg (NCT vs. GAT), −7.8 to 15.3 (IOPg vs. GAT), and − 8.1 to 19.0 (IOPcc vs. GAT). The differences in IOP measurements increased significantly with higher average IOP values (r = 0.715, P = 0.001, for NCT vs. GAT; r = 0.802, P < 0.001, for IOPg vs. GAT; and r = 0.806, P < 0.001, for IOPcc vs. GAT). CH showed a significant association with differences in IOP measurements only for IOPcc vs. GAT (r = 0.830, P < 0.001). Conclusion: Mean IOP obtained by NCT was not significantly different from that of GAT, but ORA measured IOPs were significantly higher than both other devices.
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spelling doaj.art-8b7ec34060f54191b0eee4fd6f967c142022-12-22T03:55:54ZengKnowledge EJournal of Ophthalmic & Vision Research2008-322X2015-01-01101434810.4103/2008-322X.156105Intraocular pressure measurement by three different tonometers in primary congenital glaucomaAthar ZareeiMohammad Reza RazeghinejadMohammad Hosein NowroozzadehYadollah MehrabiMohammad Aghazadeh-AmiriPurpose: To determine the agreement between intraocular pressure (IOP) measurements using an automated non-contact tonometer (NCT), Goldmann applanation tonometer (GAT), and the ocular response analyzer (ORA) in subjects with primary congenital glaucoma (PCG). Methods: Twenty-nine eyes of 17 PCG patients underwent IOP measurements using NCT, GAT and ORA. Variables obtained by the ORA were corneal-compensated IOP (IOPcc), Goldmann-correlated IOP (IOPg), corneal hysteresis (CH), and corneal resistance factor (CRF). A difference more than 1.5 mmHg for IOP was considered as clinically relevant. Results: Mean age of the patients was 12 years. Mean IOP (±standard deviation, SD) was 15.3 ± 2.8 mmHg (GAT), 15.5 ± 6.0 (NCT), 19.2 ± 7.0 (IOPg), and 21.1 ± 7.9 (IOPcc); (P = 0.001). Except for NCT vs. GAT (P = 1.0), the average IOP difference between each pair of measurements was clinically relevant. The 95% limits of agreements were − 10.2 to 10.3 mmHg (NCT vs. GAT), −7.8 to 15.3 (IOPg vs. GAT), and − 8.1 to 19.0 (IOPcc vs. GAT). The differences in IOP measurements increased significantly with higher average IOP values (r = 0.715, P = 0.001, for NCT vs. GAT; r = 0.802, P < 0.001, for IOPg vs. GAT; and r = 0.806, P < 0.001, for IOPcc vs. GAT). CH showed a significant association with differences in IOP measurements only for IOPcc vs. GAT (r = 0.830, P < 0.001). Conclusion: Mean IOP obtained by NCT was not significantly different from that of GAT, but ORA measured IOPs were significantly higher than both other devices.http://www.jovr.org/article.asp?issn=2008-322X;year=2015;volume=10;issue=1;spage=43;epage=48;aulast=ZareeiGoldmann Applanation Tonometer; Intraocular Pressure; Noncontact Tonometer; Ocular Response Analyzer; Primary Congenital Glaucoma
spellingShingle Athar Zareei
Mohammad Reza Razeghinejad
Mohammad Hosein Nowroozzadeh
Yadollah Mehrabi
Mohammad Aghazadeh-Amiri
Intraocular pressure measurement by three different tonometers in primary congenital glaucoma
Journal of Ophthalmic & Vision Research
Goldmann Applanation Tonometer; Intraocular Pressure; Noncontact Tonometer; Ocular Response Analyzer; Primary Congenital Glaucoma
title Intraocular pressure measurement by three different tonometers in primary congenital glaucoma
title_full Intraocular pressure measurement by three different tonometers in primary congenital glaucoma
title_fullStr Intraocular pressure measurement by three different tonometers in primary congenital glaucoma
title_full_unstemmed Intraocular pressure measurement by three different tonometers in primary congenital glaucoma
title_short Intraocular pressure measurement by three different tonometers in primary congenital glaucoma
title_sort intraocular pressure measurement by three different tonometers in primary congenital glaucoma
topic Goldmann Applanation Tonometer; Intraocular Pressure; Noncontact Tonometer; Ocular Response Analyzer; Primary Congenital Glaucoma
url http://www.jovr.org/article.asp?issn=2008-322X;year=2015;volume=10;issue=1;spage=43;epage=48;aulast=Zareei
work_keys_str_mv AT atharzareei intraocularpressuremeasurementbythreedifferenttonometersinprimarycongenitalglaucoma
AT mohammadrezarazeghinejad intraocularpressuremeasurementbythreedifferenttonometersinprimarycongenitalglaucoma
AT mohammadhoseinnowroozzadeh intraocularpressuremeasurementbythreedifferenttonometersinprimarycongenitalglaucoma
AT yadollahmehrabi intraocularpressuremeasurementbythreedifferenttonometersinprimarycongenitalglaucoma
AT mohammadaghazadehamiri intraocularpressuremeasurementbythreedifferenttonometersinprimarycongenitalglaucoma